Individual
JESSE RAY MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 439-6860
Mailing address
241 OLD ROME RD, KINGSTON, GA 30145-2107
(706) 299-0241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN169618 NP
GA
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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